WO2011110420A1 - Palmar thumb and thumb saddle joint splint - Google Patents

Palmar thumb and thumb saddle joint splint Download PDF

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Publication number
WO2011110420A1
WO2011110420A1 PCT/EP2011/052603 EP2011052603W WO2011110420A1 WO 2011110420 A1 WO2011110420 A1 WO 2011110420A1 EP 2011052603 W EP2011052603 W EP 2011052603W WO 2011110420 A1 WO2011110420 A1 WO 2011110420A1
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WO
WIPO (PCT)
Prior art keywords
thumb
hand
rail
saddle joint
rail part
Prior art date
Application number
PCT/EP2011/052603
Other languages
German (de)
French (fr)
Inventor
Kalman Bolla
Original Assignee
Chrisofix Ag
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Chrisofix Ag filed Critical Chrisofix Ag
Priority to PL11712189T priority Critical patent/PL2544636T3/en
Priority to ES11712189.7T priority patent/ES2540988T3/en
Priority to EP11712189.7A priority patent/EP2544636B1/en
Priority to US13/583,867 priority patent/US10201448B2/en
Priority to DK11712189.7T priority patent/DK2544636T3/en
Publication of WO2011110420A1 publication Critical patent/WO2011110420A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/04—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints
    • A61F5/05—Devices for stretching or reducing fractured limbs; Devices for distractions; Splints for immobilising
    • A61F5/058—Splints
    • A61F5/05841—Splints for the limbs
    • A61F5/05858—Splints for the limbs for the arms
    • A61F5/05866—Splints for the limbs for the arms for wrists, hands, fingers or thumbs
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/01—Orthopaedic devices, e.g. splints, casts or braces
    • A61F5/0102—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations
    • A61F5/0104—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation
    • A61F5/0118—Orthopaedic devices, e.g. splints, casts or braces specially adapted for correcting deformities of the limbs or for supporting them; Ortheses, e.g. with articulations without articulation for the arms, hands or fingers

Definitions

  • the present invention relates to the field of medical splints. It relates to a palmar thumb and thumb saddle joint rail according to the preamble of claim 1.
  • the thumb of the human hand has a high mobility and a wide range of motion in order to be able to perform complicated creasing movements in conjunction with the other fingers of the hand.
  • the various, in their training special joints of the thumb play a substantial part in this flexibility.
  • a central role is played by the so-called "carpometacarpal joint" between the large polygon bone (os trapezium) and the first metacarpal bone, both of which carry a saddle-shaped joint end, with the articular surfaces of the bones
  • movements about two main axes oriented perpendicular to one another are possible in the thumb / saddle joint.
  • thumb In opposition or reduction, the thumb faces the other fingers to form the tongs. Repositioned, he lies with them in one plane.
  • the other movement involves the abduction and adduction of the thumb.
  • Abduction refers to the spreading of the metacarpal section together with the thumb, adduction to its application to the hand in re-opposition or opposition.
  • the thumb When the thumb is spread radially away from the index finger, it takes repositions and abduction at the same time. If he is spread across the other fingers palmar (open tongs), he is abducted and opposed in the saddle joint.
  • Most thumb movements are such combination movements about both axes of the saddle joint. For example, in thumb circles (circumduction) a combination on adduction, abduction, flexion and extension. Opposition is a combination of adduction, flexion, and internal rotation of the thumb.
  • the movements in which the thumb saddle joint is involved must be specifically limited or completely prevented.
  • a thumb splint in which a sleeve for receiving the thumb is provided, which is formed from two open thumb shells. The sleeve transitions into a back of the hand and a palm part, which only partially surround the hand from the side of the thumb and are connected to one another by means of a flexible band guided around the outside of the hand. Abduction and opposition movement can not be effectively prevented by this rail configuration.
  • a thumb rail for immobilizing the thumb-seat joint and the thumb-Crundgelenks which consists of a solid molded body which comprises the thumb and the hand, at least partially.
  • the molded body forms a hand-enclosing clasp, the ends of which overlap in the thumb-remote areas of the hand and are joined together at the point of overlap by a hook-and-loop fastener.
  • the molded body is integrally formed and consists of a plastic.
  • the clasp is adjoined directly by a half-shell on the outside of the thumb, which is closed with a tightening strap and consists of a tongue formed out at the transition point of the clasp-half shell and projecting into the area between the thumb and the palm of the hand.
  • the clasp and half shell exert pressure on the hand and thumb after closing.
  • the intended to protect the saddle joint tongue has a free end and must therefore be made very stable to allow the necessary fixation.
  • the tongue prevents adduction of the thumb but does not prevent abduction and especially not movement between opposition and reduction.
  • the tongue is also inconvenient as it cuts into the thumb and hand with the sharp side edges when the thumb is moved in the adduction direction.
  • thumb rails as known for example from US Pat. No. 6,520,925 or US Pat. No. 5,746,707, fix the thumb only on a flat surface, which is generally insufficient for splinting the etacarpal region. The same applies to rails of the type shown in WO 2007/066367.
  • the palmar thumb and thumb saddle joint splint should be used in the treatment of Rh disarthrosis and reliably prevent the painful movements of arthritis affected joints.
  • the palmar thumb and thumb saddle joint splint according to the invention is characterized in that a first splint part for receiving the thumb is designed as a shell part that is rigid but plastically deformable by hand and is open at the top, into which the thumb can be inserted in that the first rail part is fixedly connected to a rigid, but hand plastically deformable hand edge part which, when the rail is applied, comprises the hand edge of the splinted hand, and in that the fastening means are rigid but plastically deformable by hand, first and second second fixation strips, wherein the first fixation strip from the hand edge portion over the Back of the hand to the first rail part extends, and the second fixation strip is guided from the hand edge part between the thumb and forefinger of the splinted hand through to the first rail part.
  • the four fingers of the hand and the thumb are each effectively fixed to the rail base member composed of the first rail part and the hand edge part with minimal rail effort, so that movement of both hand regions relative to each other using the thumb saddle joint is surely inhibited becomes.
  • An embodiment of the palmar thumb and thumb saddle joint splint according to the invention is characterized in that a fixing strap is arranged on the first rail part, which can be placed around the thumb lying in the first rail part and fixed with the free end on the first rail part, so that the flexion the thumb base joint can be prevented.
  • palmar thumb and thumb saddle joint splint is characterized in that the hand edge part consists of the same material as the first splint part and forms a continuation of the first splint part.
  • a further embodiment is characterized in that the hand edge part is connected to a fixation strap, which extends over the back of the hand when the splint is applied, and in that the second fixation strap is fixed at one end to the fixation strap.
  • the fixing strap consists of the same material as the hand edge part and forms a continuation of the hand edge part.
  • Another embodiment of the invention is characterized in that the first fixing strip is fastened with one end on the hand edge part and with the other end on the first rail part.
  • the first fixation strip is releasably secured at both ends, and the attachment takes place in the manner of a hook and loop fastener.
  • the releasable attachment of the second fixation strip to the palmar thumb and thumb saddle joint splint in the manner of a hook and loop fastener is preferred.
  • the easy adaptability and high comfort when wearing the splint can be achieved, in particular, by the fact that the rigid, but with the hand plastically deformable elements of the palmar thumb and thumb saddle joint rail are made of a material containing a transversely curled aluminum sheet as the core , Such a rail material is known, for example, from the document WO 97/2231 2, which is expressly referred to because of the choice of material and dimensions of the corrugated sheet.
  • Figure 1 is a side view of the application of a palmar thumb and thumb saddle joint rail according to an embodiment of the invention with additional saddle joint fixation strip for fixing the thumb saddle joint.
  • FIG. 3 shows the shaved hand from FIG. 1 in a view from below;
  • FIG. and 4 shows the configuration of the hand-removed rail of FIG. 1
  • FIG. 1 1, 2 and 3 an embodiment of a palmar thumb and thumb saddle joint rail is shown in use on one hand from different angles.
  • Fig. 4 shows the same rail after removal from the hand.
  • first rail part 1 1 in which the thumb 1 7 is inserted with its etacarpal Scheme from above. Because of its possible plastic deformability without further aids, the first rail part 1 1 can be adapted to the respective shape of the thumb 1 7 in order to achieve a comfortable and secure support of the thumb 1 7 in the metacarpal area.
  • the intrinsic stiffness and plastic deformability is preferably achieved by using a rail material which is in the above mentioned.
  • WO 97/2231 2 is described in detail and whose mechanical properties are based on the special properties of a transversely corrugated aluminum sheet.
  • the material of the first rail part 1 1 can advantageously be provided with (different) cover layers on both sides, the side facing the skin being equipped, for example, with a skin-friendly, breathable upholstery for a further improvement of the wearing comfort even during prolonged use is, while on the outside with advantage a cover material is used, which (may be part of a hook and loop fastener (by training of distributed loops or hooks).
  • this cover material may extend over the entire surface to allow the attachment of additional elements by Velcro anywhere on the rail.
  • the rail material and optionally also the fixing elements - as can be seen in the figures - be provided with a perforation through which In addition, air can reach the well-groomed areas or skin exudates can be released to the outside.
  • a fixing tab 1 3 is arranged on the first rail part 1 1 transverse to the thumb longitudinal direction, which is placed around the lying in the rail part 1 1 thumb 1 7 around and with the free end on the first Rail part 1 1 can be fixed (see especially Fig. 1).
  • the fixation tab 1 3 may for example consist of a conventional flexible strip material.
  • the fixing tab 1 3 on the first rail part 1 1 can be fixed by means of a hook and loop fastener, which exploits the properties of the outer cover layer of the first rail part 1 1. Since the fixing strap 1 3 is compared to the first rail part 1 1 of comparatively small width, the end member of the thumb 1 7 in the first rail part (1 1) despite this fixation sufficient freedom of movement.
  • the palmar thumb and thumb saddle joint rail 10 as a second rail part comprises a well visible in Fig. 3 and 4 hand edge part 1 2, which is connected to the first rail part 1 1 in a one-piece unit and with applied rail, the hand edge of hand-held 1 6 laterally includes.
  • First rail part 1 1 and hand edge part 1 2 together form a support surface for the hand 1 6 and fix so in a first step, the position of the treated thumb 1 7 relative to the hand 1 6.
  • the hand edge part 1 2 consists of the same material as the rail part 1 and is therefore in the same way rigid in itself and plastically deformable by hand, so that it can be easily and permanently adapted to the respective hand shape.
  • the hand edge part 1 2 merges into another fixation tab 1 2a, which extends with applied rail on the back of the hand of the splinted hand 1 6 (see in particular Fig. 2) and from the same stiff in itself, but with the hand plastically deformable material, As the hand edge portion 1 2.
  • Fig. 2 and Fig. 3 is for fixation of the four fingers of the remaining hand on the palmar thumb and thumb saddle joint splint 1 0 a rigid, but with the hand plastically deformable fixation strip 1 5 mounted between the thumb 1 7 and index finger 1 8 of the splinted hand 1 6 therethrough is guided and on the palmar thumb and thumb saddle joint rail 1 0 is releasably attached.
  • the releasable attachment of the fixation strip 1 5 on the palmar thumb and thumb saddle joint rail 1 0 is preferably again in the manner of a hook and loop fastener, the one end is fixed with advantage to the fixing tab 1 2a (Fig. 2).
  • Another crund element of the palmar thumb and thumb saddle joint splint 1 0 next to the first splint part 1 1 and the hand edge part 1 2 is a rigid, but by hand plastically deformable, over the back of the hand of the splinted hand 1 6 guided fixation strip 1 4 ( see in particular Fig. 2).
  • the fixing strip 1 4 is formed as a separate part and releasably secured with both ends on the first rail part 1 1 and 1 hand edge part, wherein the attachment is again in the manner of a hook and loop fastener. Since the fixation strip 14 - unlike a flexible attachment band of the usual type - itself consists of splinting material, it can be adapted in the same way to the respective hand shape and contributes significantly to the fixation.
  • the invention results in a palmar thumb and thumb saddle joint splint, which allows a local and targeted immobilization of the thumb saddle joint, in particular also in the case of rhizarthrosis, is easy to use, without additional Aid can also be used in an emergency and is characterized by a high level of comfort.
  • first and second fixation strips 1 4 and 1 5 are not made of a inherently stiff but plastically deformable material by hand, but form as textile bands.
  • the splint 1 0 still fixes the metacarpophalangeal joint and can be used with advantage as a palmar thumb splint.

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  • Health & Medical Sciences (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

A palmar thumb and thumb saddle joint splint (10) comprises a first splint part (11) for receiving the thumb (17) and means (14, 15) for fastening the first splint part (11) to the hand (16). All possible movements in the area of the thumb saddle joint are prevented in a simple way by the first splint part (11) being formed as a shell part that is open at the top and is intrinsically stiff but can be deformed plastically with the hand, in which shell part the thumb (17) can be laid; by the first splint plant (11) being connected firmly to a side-of-the-hand part (12) that is intrinsically stiff but can be deformed plastically with the hand and, when the splint is put in place, embraces the side of the splinted hand (16); and by the fastening means comprising first and second fixing strips (14, 15) which are intrinsically stiff but can be deformed plastically with the hand, wherein the first fixing strip (14) runs from the side-of-the-hand part (12) over the back of the hand to the first splint part (11), and the second fixing strip (15), starting from the side of the hand part (12), is led through between thumb (17) and index finger (18) of the splinted hand (16) to the first splint part (11).

Description

Palmare Daumen- und Daumensattelgelenk-Schiene  Palm-shaped thumb and thumb saddle joint splint
Die vorliegende Erfindung bezieht sich auf das Gebiet der medizinischen Schienen. Sie betrifft eine palmare Daumen und Daumensattelgelenk-Schiene gemäss dem Oberbegriff des Anspruchs 1 .  The present invention relates to the field of medical splints. It relates to a palmar thumb and thumb saddle joint rail according to the preamble of claim 1.
Der Daumen der menschlichen Hand hat eine hohe Beweglichkeit und einen weiten Bewegungsbereich, um im Zusammenwirken mit den übrigen Fingern der Hand komplizierte Creifbewegungen ausführen zu können. Wesentlichen Anteil an dieser Beweglichkeit haben die verschiedenen, in ihrer Ausbildung besonderen Gelenke des Daumens. Eine zentrale Rolle spielt dabei das sogenannte „Daumen-Sattelgelenk" (Karpometakarpalgelenk) zwischen dem zur Handwurzel gehörenden grossen Vieleckbein (os trapezium) und dem ersten Mittelhandknochen (os metacarpi). Beide Knochen tragen ein wie ein Sattel geformtes Gelenkende, wobei die Gelenkflächen der Knochen quer zueinander angeordnet sind. Durch diese Anordnung sind im Daumen-Sattelgelenk Bewegungen um zwei senkrecht zueinander orientierte Hauptachsen möglich. The thumb of the human hand has a high mobility and a wide range of motion in order to be able to perform complicated creasing movements in conjunction with the other fingers of the hand. The various, in their training special joints of the thumb play a substantial part in this flexibility. A central role is played by the so-called "carpometacarpal joint" between the large polygon bone (os trapezium) and the first metacarpal bone, both of which carry a saddle-shaped joint end, with the articular surfaces of the bones As a result of this arrangement, movements about two main axes oriented perpendicular to one another are possible in the thumb / saddle joint.
Eine dieser Bewegungen, die in einer Ebene schräg zur Handebene verläuft, wird als Opposition bzw. Reposition bezeichnet. In Opposition steht der Daumen den anderen Fingern zur Bildung der Greifzange gegenüber. Reponiert liegt er mit ihnen in einer Ebene. Die andere Bewegung umfasst die Abduktion und die Adduktion des Daumens. Abduktion bezeichnet das Abspreizen des Metakarpalabschnitts samt Daumen, Adduktion deren Anlegen an die Hand bei Re- oder Opposition. Wenn der Daumen radialwärts vom Zeigefinger abgespreizt ist, nimmt er Repositions- und zugleich Abduktionsstellung ein. Steht er den anderen Fingern palmar abgespreizt gegenüber (offene Greifzange), ist er im Sattelgelenk abduziert und opponiert. Die meisten Daumenbewegungen sind solche Kombinationsbewegungen um beide Achsen des Sattelgelenkes. So findet beim Daumenkreisen (Zirkumduktion) eine Kombinati- on von Adduktion, Abduktion, Flexion und Extension statt. Als Opposition wird eine Kombinationsbewegung aus Adduktion, Flexion und Innenrotation des Daumens verstanden. One of these movements, which runs in a plane oblique to the hand plane, is called opposition or reduction. In opposition, the thumb faces the other fingers to form the tongs. Repositioned, he lies with them in one plane. The other movement involves the abduction and adduction of the thumb. Abduction refers to the spreading of the metacarpal section together with the thumb, adduction to its application to the hand in re-opposition or opposition. When the thumb is spread radially away from the index finger, it takes repositions and abduction at the same time. If he is spread across the other fingers palmar (open tongs), he is abducted and opposed in the saddle joint. Most thumb movements are such combination movements about both axes of the saddle joint. For example, in thumb circles (circumduction) a combination on adduction, abduction, flexion and extension. Opposition is a combination of adduction, flexion, and internal rotation of the thumb.
Soll nun gezielt das Daumensattelgelenk ruhig gestellt werden, müssen die Bewegungen, an denen das Daumensattelgelenk beteiligt ist, gezielt begrenzt oder ganz unterbunden werden. If the thumb saddle joint is to be immobilized in a targeted manner, the movements in which the thumb saddle joint is involved must be specifically limited or completely prevented.
Aus dem Stand der Technik ist eine Vielzahl von Daumenschienen bekannt, die jedoch alle die gewünschte Ruhigstellung des Daumensattelgelenks nicht oder nicht vollständig erreichen. So ist beispielsweise aus der Druckschrift CH 690 954 eine Daumenschiene bekannt, bei der eine H ülse zur Aufnahme des Daumens vorgesehen ist, die aus zwei offenen Daumenschalen gebildet wird. Die H ülse geht über in einen Handrückenteil und einen Handflächenteil, welche die Hand von der Daumenseite her nur teilweise einfassen und mittels eines aussen um die Handkante geführten flexiblen Bandes miteinander verbunden sind. Ab- duktions- und Oppositionsbewegung können durch diese Schienenkonfiguration nicht wirksam unterbunden werden. Dasselbe gilt auch für die Mittelhand-Daumenschiene aus der EP 0 143 348 und die Schiene aus der DE 30 06 362. From the prior art, a plurality of thumb rails are known, but all of which do not reach the desired immobilization of the thumb saddle joint or not complete. Thus, for example, from document CH 690 954 a thumb splint is known, in which a sleeve for receiving the thumb is provided, which is formed from two open thumb shells. The sleeve transitions into a back of the hand and a palm part, which only partially surround the hand from the side of the thumb and are connected to one another by means of a flexible band guided around the outside of the hand. Abduction and opposition movement can not be effectively prevented by this rail configuration. The same applies to the middle-hand thumb rail from EP 0 143 348 and the rail from DE 30 06 362.
Aus der DE 35 1 9 493 ist eine Daumenschiene zum Ruhigstellen des Daumen-Sattelgelenks und des Daumen-Crundgelenks bekannt, die aus einem festen Formkörper besteht, der den Daumen und die Hand zumindest teilweise umfasst. Der Formkörper bildet eine die Hand umschliessende Spange, deren Enden sich in dem Daumen abgekehrten Bereichen der Hand überlappen und an der Überlappungsstelle miteinander durch einen Klettverschluss verbunden werden. Der Formkörper ist einstückig ausgebildet und besteht aus einem Kunststoff. An die Spange schliesst sich unmittelbar eine Halbschale an der Aussenseite des Daumens an, die mit einem Spannband geschlossen wird, und aus einer an der Übergangsstelle Spange-Halbschale herausgeformten, in den Bereich zwischen Daumen und Handfläche hineinragenden Zunge besteht. Spange und Halbschale üben nach dem Schliessen Druck auf die Hand und den Daumen aus. Die zum Schutz des Sattelgelenks vorgesehene Zunge hat ein freies Ende und muss daher sehr stabil ausgebildet werden, um die notwendige Fixierung zu ermöglichen. Durch die Zunge wird eine Adduktion des Daumens verhindert, nicht jedoch eine Abduktion und insbesondere nicht eine Bewegung zwischen Opposition und Reposition. Die Zunge ist darüber hinaus unbequem, da sie mit den scharfen Seitenkanten in Daumen und Hand einschneidet, wenn der Daumen in Adduktionsrichtung bewegt wird. From DE 35 1 9 493 a thumb rail for immobilizing the thumb-seat joint and the thumb-Crundgelenks is known, which consists of a solid molded body which comprises the thumb and the hand, at least partially. The molded body forms a hand-enclosing clasp, the ends of which overlap in the thumb-remote areas of the hand and are joined together at the point of overlap by a hook-and-loop fastener. The molded body is integrally formed and consists of a plastic. The clasp is adjoined directly by a half-shell on the outside of the thumb, which is closed with a tightening strap and consists of a tongue formed out at the transition point of the clasp-half shell and projecting into the area between the thumb and the palm of the hand. The clasp and half shell exert pressure on the hand and thumb after closing. The intended to protect the saddle joint tongue has a free end and must therefore be made very stable to allow the necessary fixation. The tongue prevents adduction of the thumb but does not prevent abduction and especially not movement between opposition and reduction. The tongue is also inconvenient as it cuts into the thumb and hand with the sharp side edges when the thumb is moved in the adduction direction.
Andere Daumenschienen, wie sie beispielsweise aus der US 6,520,925 oder der US 5,746,707 bekannt sind, fixieren den Daumen nur auf einer flachen Unterlage, was für die Schienung des etacarpalbereiches in der Regel nicht ausreichend ist. Dasselbe gilt auch für Schienen der in der WO 2007/066367 gezeigten Art. Other thumb rails, as known for example from US Pat. No. 6,520,925 or US Pat. No. 5,746,707, fix the thumb only on a flat surface, which is generally insufficient for splinting the etacarpal region. The same applies to rails of the type shown in WO 2007/066367.
Es ist daher Aufgabe der vorliegenden Erfindung, eine palmare Daumen- und Daumensattelgelenk-Schiene zu schaffen, die eine spezifische und vollständige Immobilisierung des Daumen-Sattelgelenks ermöglicht, einfach aufgebaut ist, sich leicht und ohne spezielle Hilfsmittel anlegen lässt und sich durch einen hohen Tragekomfort auszeichnet. Insbesondere soll die palmare Daumen- und Daumensattelgelenk-Schiene bei der Behandlung der Rh i- zarthrose einsetzbar sein und die schmerzhaften Bewegungen der von der Arthrose beeinträchtigten Gelenke sicher unterbinden. It is therefore an object of the present invention to provide a palmar thumb and thumb saddle joint rail, which allows a specific and complete immobilization of the thumb saddle joint, is simple, easy to put on and without special aids and is characterized by a high level of comfort , In particular, the palmar thumb and thumb saddle joint splint should be used in the treatment of Rh disarthrosis and reliably prevent the painful movements of arthritis affected joints.
Die Aufgabe wird durch die Gesamtheit der Merkmale des Anspruchs 1 gelöst. Die erfin- dungsgemässe palmare Daumen- und Daumensattelgelenk-Schiene zeichnet sich dadurch aus, dass ein erster Schienenteil zur Aufnahme des Daumens als in sich steifer, jedoch mit der Hand plastisch verformbarer, nach oben offener Schalenteil ausgebildet ist, in welchen der Daumen hineingelegt werden kann, dass der erste Schienenteil fest mit einem in sich steifen, jedoch mit der Hand plastisch verformbaren Handkantenteil verbunden ist, welcher bei angelegter Schiene die Handkante der geschienten Hand umfasst, und dass die Befestigungsmittel in sich steife, jedoch mit der Hand plastisch verformbare, erste und zweite Fixierungsstreifen umfassen, wobei der erste Fixierungsstreifen vom Handkantenteil über den Handrücken zum ersten Schienenteil verläuft, und der zweite Fixierungsstreifen vom Handkantenteil ausgehend zwischen Daumen und Zeigefinger der geschienten Hand hindurch zum ersten Schienenteil geführt ist. The object is solved by the entirety of the features of claim 1. The palmar thumb and thumb saddle joint splint according to the invention is characterized in that a first splint part for receiving the thumb is designed as a shell part that is rigid but plastically deformable by hand and is open at the top, into which the thumb can be inserted in that the first rail part is fixedly connected to a rigid, but hand plastically deformable hand edge part which, when the rail is applied, comprises the hand edge of the splinted hand, and in that the fastening means are rigid but plastically deformable by hand, first and second second fixation strips, wherein the first fixation strip from the hand edge portion over the Back of the hand to the first rail part extends, and the second fixation strip is guided from the hand edge part between the thumb and forefinger of the splinted hand through to the first rail part.
Auf diese Weise werden die vier Finger der Hand und der Daumen jeweils für sich an der aus dem ersten Schienenteil und dem Handkantenteil zusammengesetzten Schienen- Grundelement mit minimalem Schienenaufwand wirksam fixiert, so dass eine Bewegung beider Handbereiche relativ zueinander unter Einsatz des Daumen-Sattelgelenks sicher unterbunden wird. In this way, the four fingers of the hand and the thumb are each effectively fixed to the rail base member composed of the first rail part and the hand edge part with minimal rail effort, so that movement of both hand regions relative to each other using the thumb saddle joint is surely inhibited becomes.
Eine Ausgestaltung der erfindungsgemässen palmaren Daumen- und Daumensattelgelenk- Schiene ist dadurch gekennzeichnet, dass an dem ersten Schienenteil eine Fixierungslasche angeordnet ist, welche um den im ersten Schienenteil liegenden Daumen herum gelegt und mit dem freien Ende am ersten Schienenteil fixiert werden kann, damit die Flexion des Daumengrundgelenks unterbunden werden kann. An embodiment of the palmar thumb and thumb saddle joint splint according to the invention is characterized in that a fixing strap is arranged on the first rail part, which can be placed around the thumb lying in the first rail part and fixed with the free end on the first rail part, so that the flexion the thumb base joint can be prevented.
Eine andere Ausgestaltung der palmaren Daumen- und Daumensattelgelenk-Schiene zeichnet sich dadurch aus, dass der Handkantenteil aus demselben Material besteht wie der erste Schienenteil und eine Fortsetzung des ersten Schienenteils bildet. Another embodiment of the palmar thumb and thumb saddle joint splint is characterized in that the hand edge part consists of the same material as the first splint part and forms a continuation of the first splint part.
Eine weitere Ausgestaltung ist dadurch gekennzeichnet, dass der Handkantenteil mit einer Fixierungslasche verbunden ist, welche sich bei angelegter Schiene über den Handrücken der geschienten Hand erstreckt, und dass der zweite Fixierungsstreifen mit dem einen Ende an der Fixierungslasche befestigt ist. A further embodiment is characterized in that the hand edge part is connected to a fixation strap, which extends over the back of the hand when the splint is applied, and in that the second fixation strap is fixed at one end to the fixation strap.
Vorzugsweise besteht die Fixierungslasche dabei aus demselben Material wie der Handkantenteil und bildet eine Fortsetzung des Handkantenteils. Eine andere Ausgestaltung der Erfindung zeichnet sich dadurch aus, dass der erste Fixierungsstreifen mit dem einen Ende am Handkantenteil und mit dem anderen Ende am ersten Schienenteil befestigt ist. Preferably, the fixing strap consists of the same material as the hand edge part and forms a continuation of the hand edge part. Another embodiment of the invention is characterized in that the first fixing strip is fastened with one end on the hand edge part and with the other end on the first rail part.
Insbesondere ist der erste Fixierungsstreifen an beiden Enden lösbar befestigt, und die Befestigung erfolgt nach Art eines Klettverschlusses. In particular, the first fixation strip is releasably secured at both ends, and the attachment takes place in the manner of a hook and loop fastener.
Vorzugsweise erfolgt auch die lösbare Befestigung des zweiten Fixierungsstreifens an der palmaren Daumen- und Daumensattelgelenk-Schiene nach Art eines Klettverschlusses. Preferably, the releasable attachment of the second fixation strip to the palmar thumb and thumb saddle joint splint in the manner of a hook and loop fastener.
Die leichte Anpassbarkeit und hohe Bequemlichkeit beim Tragen der Schiene lässt sich insbesondere dadurch erreichen, dass die in sich steifen, jedoch mit der Hand plastisch verformbaren Elemente der palmaren Daumen- und Daumensattelgelenk-Schiene aus einem Material bestehen, welches als Kern ein quer gewelltes Aluminiumblech enthält. Ein solches Schienenmaterial ist beispielsweise aus der Druckschrift WO 97/2231 2 bekannt, auf die wegen der Materialauswahl und Abmessungen des gewellten Bleches ausdrücklich verwiesen wird. The easy adaptability and high comfort when wearing the splint can be achieved, in particular, by the fact that the rigid, but with the hand plastically deformable elements of the palmar thumb and thumb saddle joint rail are made of a material containing a transversely curled aluminum sheet as the core , Such a rail material is known, for example, from the document WO 97/2231 2, which is expressly referred to because of the choice of material and dimensions of the corrugated sheet.
Die Erfindung soll nachfolgend anhand eines Ausführungsbeispiels im Zusammenhang mit den Figuren näher erläutert werden. Es zeigen: The invention will be explained in more detail below with reference to an embodiment in conjunction with the figures. Show it:
Fig. 1 in seitlicher Ansicht die Anwendung einer palmaren Daumen- und Daumensattelgelenk-Schiene gemäss einem Ausführungsbeispiel der Erfindung mit zusätzlichem Sattelgelenk-Fixierungsstreifen zum Fixieren des Daumen-Sattelgelenks; Figure 1 is a side view of the application of a palmar thumb and thumb saddle joint rail according to an embodiment of the invention with additional saddle joint fixation strip for fixing the thumb saddle joint.
Fig. 2 die geschiente Hand aus Fig. 1 in der Ansicht schräg von oben; Fig. 2, the splinted hand of Figure 1 in the view obliquely from above.
Fig. 3 die geschiente Hand aus Fig. 1 in der Ansicht von unten; und Fig. 4 die Konfiguration der von der Hand abgenommenen Schiene aus Fig. 1 FIG. 3 shows the shaved hand from FIG. 1 in a view from below; FIG. and 4 shows the configuration of the hand-removed rail of FIG. 1
In den Fig. 1 , 2 und 3 ist ein Ausführungsbeispiel einer palmaren Daumen- und Daumensattelgelenk-Schiene im Einsatz an einer Hand aus verschiedenen Blickwinkeln dargestellt. Fig. 4 zeigt dieselbe Schiene nach der Abnahme von der Hand. 1, 2 and 3, an embodiment of a palmar thumb and thumb saddle joint rail is shown in use on one hand from different angles. Fig. 4 shows the same rail after removal from the hand.
Crundelement der in den Figuren gezeigten palmaren Daumen- und Daumensattelgelenk- Schiene 1 0 ist ein in sich steifer, jedoch mit der Hand plastisch verformbarer erster Schienenteil 1 1 , in den der Daumen 1 7 mit seinem etacarpalbereich von oben eingelegt wird. Aufgrund seiner ohne weitere H ilfsmittel möglichen plastischen Verformbarkeit kann der erste Schienenteil 1 1 an die jeweilige Form des Daumens 1 7 angepasst werden, um eine bequeme und sichere Stützung des Daumens 1 7 im Metacarpalbereich zu erreichen. Die intrinsische Steifigkeit und plastische Verformbarkeit wird vorzugsweise durch Verwendung eines Schienenmaterials erzielt, das in der o.g. WO 97/2231 2 eingehend beschrieben ist und dessen mechanische Eigenschaften auf den besonderen Eigenschaften eines quer gewellten Aluminiumbleches beruhen. Crundelement of the palmar thumb and thumb saddle joint rail 10 shown in the figures is a rigid, but by hand plastically deformable first rail part 1 1, in which the thumb 1 7 is inserted with its etacarpalbereich from above. Because of its possible plastic deformability without further aids, the first rail part 1 1 can be adapted to the respective shape of the thumb 1 7 in order to achieve a comfortable and secure support of the thumb 1 7 in the metacarpal area. The intrinsic stiffness and plastic deformability is preferably achieved by using a rail material which is in the above mentioned. WO 97/2231 2 is described in detail and whose mechanical properties are based on the special properties of a transversely corrugated aluminum sheet.
Wie in Fig. 4 erkennbar ist, kann das Material des ersten Schienenteils 1 1 mit Vorteil beidseitig mit (unterschiedlichen) Abdeckschichten versehen sein, wobei die der Haut zugewandte Seite zur weiteren Verbesserung des Tragekomforts auch bei längerem Einsatz beispielsweise mit einer hautsympathischen, atmungsaktiven Polsterung ausgestattet ist, während auf der Aussenseite mit Vorteil ein Deckmaterial verwendet wird, das (durch Ausbildung von flächig verteilten Schlingen oder Haken) Teil eines Klettverschlusses sein kann. Dieses Deckmaterial kann sich insbesondere über die gesamte Fläche erstrecken, um die Befestigung von zusätzlichen Elementen per Klettverschluss an beliebigen Stellen der Schiene zu ermöglichen. Darüber hinaus kann das Schienenmaterial und ggf. auch die Fixierungselemente - wie in den Figuren erkennbar - mit einer Perforation versehen sein, durch die zu- sätzlich Luft an die geschienten Bereiche gelangen bzw. Hautausdünstungen nach aussen abgegeben werden können. As can be seen in FIG. 4, the material of the first rail part 1 1 can advantageously be provided with (different) cover layers on both sides, the side facing the skin being equipped, for example, with a skin-friendly, breathable upholstery for a further improvement of the wearing comfort even during prolonged use is, while on the outside with advantage a cover material is used, which (may be part of a hook and loop fastener (by training of distributed loops or hooks). In particular, this cover material may extend over the entire surface to allow the attachment of additional elements by Velcro anywhere on the rail. In addition, the rail material and optionally also the fixing elements - as can be seen in the figures - be provided with a perforation through which In addition, air can reach the well-groomed areas or skin exudates can be released to the outside.
Zu einer ersten Fixierung des Daumens 1 7 im angeformten ersten Schienenteil 1 1 ist an dem ersten Schienenteil 1 1 quer zur Daumenlängsrichtung eine Fixierungslasche 1 3 angeordnet, welche um den im Schienenteil 1 1 liegenden Daumen 1 7 herum gelegt und mit dem freien Ende am ersten Schienenteil 1 1 fixiert werden kann (siehe vor allem Fig. 1 ). Die Fixierungslasche 1 3 kann beispielsweise aus einem üblichen flexiblen Bandmaterial bestehen. Vorzugsweise ist die Fixierungslasche 1 3 am ersten Schienenteil 1 1 mittels eines Klettverschlusses fixierbar, der die Eigenschaften der äusseren Abdeckschicht des ersten Schienenteils 1 1 ausnutzt. Da die Fixierungslasche 1 3 gegenüber dem ersten Schienenteil 1 1 von vergleichsweise geringer Breite ist, hat das Endglied des Daumens 1 7 im ersten Schienenteil (1 1 ) trotz dieser Fixierung ausreichend Bewegungsfreiheit. For a first fixation of the thumb 1 7 in the molded-on first rail part 1 1, a fixing tab 1 3 is arranged on the first rail part 1 1 transverse to the thumb longitudinal direction, which is placed around the lying in the rail part 1 1 thumb 1 7 around and with the free end on the first Rail part 1 1 can be fixed (see especially Fig. 1). The fixation tab 1 3 may for example consist of a conventional flexible strip material. Preferably, the fixing tab 1 3 on the first rail part 1 1 can be fixed by means of a hook and loop fastener, which exploits the properties of the outer cover layer of the first rail part 1 1. Since the fixing strap 1 3 is compared to the first rail part 1 1 of comparatively small width, the end member of the thumb 1 7 in the first rail part (1 1) despite this fixation sufficient freedom of movement.
Als weiteres Element umfasst die palmare Daumen- und Daumensattelgelenk-Schiene 1 0 als zweiten Schienenteil einen in Fig. 3 und 4 gut sichtbaren Handkantenteil 1 2, der mit dem ersten Schienenteil 1 1 in einer einstückigen Einheit verbunden ist und bei angelegter Schiene die Handkante der geschienten Hand 1 6 seitlich umfasst. Erster Schienenteil 1 1 und Handkantenteil 1 2 bilden zusammen eine Auflagefläche für die Hand 1 6 und fixieren so in einem ersten Schritt die Lage des geschienten Daumens 1 7 relativ zur Hand 1 6. Der Handkantenteil 1 2 besteht aus demselben Material wie der Schienenteil 1 1 und ist daher in gleicher Weise in sich steif und mit der Hand plastisch verformbar, so dass er leicht und dauerhaft an die jeweilige Handform angepasst werden kann. As a further element, the palmar thumb and thumb saddle joint rail 10 as a second rail part comprises a well visible in Fig. 3 and 4 hand edge part 1 2, which is connected to the first rail part 1 1 in a one-piece unit and with applied rail, the hand edge of hand-held 1 6 laterally includes. First rail part 1 1 and hand edge part 1 2 together form a support surface for the hand 1 6 and fix so in a first step, the position of the treated thumb 1 7 relative to the hand 1 6. The hand edge part 1 2 consists of the same material as the rail part 1 and is therefore in the same way rigid in itself and plastically deformable by hand, so that it can be easily and permanently adapted to the respective hand shape.
Der Handkantenteil 1 2 geht über in eine weitere Fixierungslasche 1 2a, welche sich bei angelegter Schiene über den Handrücken der geschienten Hand 1 6 erstreckt (siehe insbesondere Fig. 2) und aus demselben in sich steifen, jedoch mit der Hand plastisch verformbaren Material besteht, wie der Handkantenteil 1 2. Wie in Fig. 2 und Fig. 3 gut zu erkennen ist, ist zur Fixierung der vier Finger der restlichen Hand an der palmaren Daumen- und Daumensattelgelenk-Schiene 1 0 ein in sich steifer, jedoch mit der Hand plastisch verformbarer Fixierungsstreifen 1 5 angebracht, der zwischen Daumen 1 7 und Zeigefinger 1 8 der geschienten Hand 1 6 hindurch geführt wird und an der palmaren Daumen- und Daumensattelgelenk- Schiene 1 0 lösbar befestigt ist. Die lösbare Befestigung des Fixierungsstreifens 1 5 an der palmaren Daumen- und Daumensattelgelenk-Schiene 1 0 erfolgt vorzugsweise wiederum nach Art eines Klettverschlusses, wobei das eine Ende mit Vorteil an der Fixierungslasche 1 2a befestigt wird (Fig. 2). The hand edge part 1 2 merges into another fixation tab 1 2a, which extends with applied rail on the back of the hand of the splinted hand 1 6 (see in particular Fig. 2) and from the same stiff in itself, but with the hand plastically deformable material, As the hand edge portion 1 2. As can be seen well in Fig. 2 and Fig. 3, is for fixation of the four fingers of the remaining hand on the palmar thumb and thumb saddle joint splint 1 0 a rigid, but with the hand plastically deformable fixation strip 1 5 mounted between the thumb 1 7 and index finger 1 8 of the splinted hand 1 6 therethrough is guided and on the palmar thumb and thumb saddle joint rail 1 0 is releasably attached. The releasable attachment of the fixation strip 1 5 on the palmar thumb and thumb saddle joint rail 1 0 is preferably again in the manner of a hook and loop fastener, the one end is fixed with advantage to the fixing tab 1 2a (Fig. 2).
Ein weiteres Crundelement der palmaren Daumen- und Daumensattelgelenk-Schiene 1 0 neben dem ersten Schienenteil 1 1 und dem Handkantenteil 1 2 ist ein in sich steifer, jedoch mit der Hand plastisch verformbarer, über den Handrücken der geschienten Hand 1 6 geführter Fixierungsstreifen 1 4 (siehe insbesondere Fig. 2). Der Fixierungsstreifen 1 4 ist als separates Teil ausgebildet und mit beiden Enden am ersten Schienenteil 1 1 bzw. Handkantenteil 1 2 lösbar befestigt, wobei die Befestigung wiederum nach Art eines Klettverschlusses erfolgt. Da der Fixierungsstreifen 14 - anders als ein biegsames Befestigungsband der üblichen Art - selbst aus Schienungsmaterial besteht, kann er in gleicher Weise an die jeweilige Handform angepasst werden und trägt wesentlich zur Fixierung bei. Insbesondere fixiert er den im ersten Schienenteil 1 1 ruhenden Daumen 1 7 relativ zur übrigen Hand. Durch die beiden Fixierungsstreifen 14 und 1 5 werden so - für sich getrennt - die vier Finger der Hand und der Daumen jeweils in der aus den Teilen 1 1 und 1 2 bestehenden Schiene fixiert, so dass jede mögliche Bewegung im Daumengrundgelenk und im Daumen-Sattelgelenk, insbesondere auch die Bewegung Opposition und Reposition, sicher und auf bequeme Weise unterbunden ist. Another crund element of the palmar thumb and thumb saddle joint splint 1 0 next to the first splint part 1 1 and the hand edge part 1 2 is a rigid, but by hand plastically deformable, over the back of the hand of the splinted hand 1 6 guided fixation strip 1 4 ( see in particular Fig. 2). The fixing strip 1 4 is formed as a separate part and releasably secured with both ends on the first rail part 1 1 and 1 hand edge part, wherein the attachment is again in the manner of a hook and loop fastener. Since the fixation strip 14 - unlike a flexible attachment band of the usual type - itself consists of splinting material, it can be adapted in the same way to the respective hand shape and contributes significantly to the fixation. In particular, he fixes the resting in the first rail part 1 1 thumb 1 7 relative to the rest of the hand. By the two fixation strips 14 and 15, the four fingers of the hand and the thumb are each fixed in the rail consisting of the parts 11 and 12, so that every possible movement in the thumb base joint and in the thumb saddle joint is separated , in particular the movement opposition and reduction, is safely and conveniently prevented.
Insgesamt ergibt sich mit der Erfindung eine palmare Daumen- und Daumensattelgelenk- Schiene, die eine lokale und gezielte Immobilisierung des Daumen-Sattelgelenks, insbesondere auch bei der Rhizarthrose, ermöglicht, einfach in der Anwendung ist, ohne zusätzliche Hilfsmittel auch im Notfall eingesetzt werden kann und sich durch einen hohen Tragekomfort auszeichnet. Overall, the invention results in a palmar thumb and thumb saddle joint splint, which allows a local and targeted immobilization of the thumb saddle joint, in particular also in the case of rhizarthrosis, is easy to use, without additional Aid can also be used in an emergency and is characterized by a high level of comfort.
Es ist aber auch denkbar, die ersten und zweiten Fixierungsstreifen 1 4 und 1 5 nicht aus einem in sich steifen, jedoch mit der Hand plastisch verformbaren Material auszuführen, sondern als Textilbänder auszubilden. In diesem Fall fixiert die Schiene 1 0 noch immer das Daumengrundgelenk und kann mit Vorteil als palmare Daumenschiene eingesetzt werden. However, it is also conceivable that the first and second fixation strips 1 4 and 1 5 are not made of a inherently stiff but plastically deformable material by hand, but form as textile bands. In this case, the splint 1 0 still fixes the metacarpophalangeal joint and can be used with advantage as a palmar thumb splint.
Bezugszeichenliste LIST OF REFERENCE NUMBERS
1 0 palmare Daumen- und Daumensattelgelenk-Schiene  1 0 palmar thumb and thumb saddle joint splint
1 1 erster Schienenteil  1 1 first rail part
1 2 Handkantenteil (zweiter Schienenteil)  1 2 hand edge part (second rail part)
1 2a Fixierungslasche  1 2a Fixation tab
1 3 Fixierungslasche  1 3 Fixation tab
14, 1 5 Fixierungsstreifen  14, 1 5 fixation strips
1 6 Hand  1 6 hand
1 7 Daumen  1 7 thumbs
1 8 Zeigefinger  1 8 index finger

Claims

Patentansprüche claims
1 . Palmare Daumen- und Daumensattelgelenk-Schiene (1 0), umfassend einen ersten Schienenteil (1 1 ) zur Aufnahme des Daumens (1 7), sowie Mittel (1 4, 1 5) zum Befestigen des ersten Schienenteils (1 1 ) an der Hand (1 6), dadurch gekennzeichnet, dass der erste Schienenteil (1 1 ) als in sich steifer, jedoch mit der Hand plastisch verformbarer, nach oben offener Schalenteil ausgebildet ist, in welchen der Daumen (1 7) hineingelegt werden kann, dass der erste Schienenteil (1 1 ) fest mit einem in sich steifen, jedoch mit der Hand plastisch verformbaren Handkantenteil (1 2) verbunden ist, welcher bei angelegter Schiene die Handkante der geschienten Hand (1 6) umfasst, und dass die Befestigungsmittel in sich steife, jedoch mit der Hand plastisch verformbare, erste und zweite Fixierungsstreifen (1 4, 1 5) umfassen, wobei der erste Fixierungsstreifen (1 4) vom Handkantenteil (1 2) über den Handrücken zum ersten Schienenteil (1 1 ) verläuft, und der zweite Fixierungsstreifen (1 5) vom Handkantenteil (1 2) ausgehend zwischen Daumen (1 7) und Zeigefinger (1 8) der geschienten Hand (1 6) hindurch zum ersten Schienenteil (1 1 ) geführt ist. 1 . Palm-shaped thumb and thumb saddle joint rail (1 0) comprising a first rail part (1 1) for receiving the thumb (1 7), and means (1 4, 1 5) for securing the first rail part (1 1) to the hand (1 6), characterized in that the first rail part (1 1) as in itself rigid, but by hand plastically deformable, upwardly open shell part is formed, in which the thumb (1 7) can be put into that the first Rail part (1 1) is firmly connected to a rigid, but with the hand plastically deformable hand edge part (1 2), which when applied rail, the hand edge of the splinted hand (1 6), and that the fastening means in itself stiff, however with the hand plastically deformable, first and second fixation strips (1 4, 1 5), wherein the first fixation strip (1 4) from the hand edge part (1 2) on the back of the hand to the first rail part (1 1) extends, and the second fixation strip ( 1 5) from the hand canoe Part (1 2), starting between thumb (1 7) and index finger (1 8) of the splinted hand (1 6) through to the first rail part (1 1) is performed.
2. Palmare Daumen- und Daumensattelgelenk-Schiene nach Anspruch 1 , dadurch gekennzeichnet, dass an dem ersten Schienenteil (1 1 ) eine Fixierungslasche (1 3) angeordnet ist, welche um den im ersten Schienenteil (1 1 ) liegenden Daumen (1 7) herum gelegt und mit dem freien Ende am ersten Schienenteil (1 1 ) fixiert werden kann. 2. Palmare thumb and thumb saddle joint splint according to claim 1, characterized in that on the first rail part (1 1) a fixing tab (1 3) is arranged, which around the in the first rail part (1 1) lying thumb (1 7) placed around and can be fixed with the free end on the first rail part (1 1).
3. Palmare Daumen- und Daumensattelgelenk-Schiene nach Anspruch 1 oder 2, dadurch gekennzeichnet, dass der Handkantenteil (1 2) aus demselben Material besteht wie der erste Schienenteil (1 1 ) und eine Fortsetzung des ersten Schienenteils (1 1 ) bildet. 3. Palmare thumb and thumb saddle joint rail according to claim 1 or 2, characterized in that the hand edge part (1 2) consists of the same material as the first rail part (1 1) and a continuation of the first rail part (1 1).
4. Palmare Daumen- und Daumensattelgelenk-Schiene nach einem der Ansprüche 1 bis 3, dadurch gekennzeichnet, dass der Handkantenteil (1 2) mit einer Fixierungslasche (1 2a) verbunden ist, welche sich bei angelegter Schiene über den Handrücken der geschienten Hand (1 6) erstreckt, und dass der zweite Fixierungsstreifen (1 5) mit dem einen Ende an der Fixierungslasche (1 2a) befestigt ist. 4. Palmare thumb and thumb saddle joint splint according to one of claims 1 to 3, characterized in that the hand edge part (1 2) with a fixing tab (1 2a) is connected, which is applied to the rail over the back of the hand hand (1 6), and that the second fixing strip (1 5) is fixed at one end to the fixing tab (1 2a).
5. Palmare Daumen- und Daumensattelgelenk-Schiene nach Anspruch 4, dadurch gekennzeichnet, dass die Fixierungslasche (1 2a) aus demselben Material besteht wie der Handkantenteil (1 2) und eine Fortsetzung des Handkantenteils (1 2) bildet. 5. palmar thumb and thumb saddle joint splint according to claim 4, characterized in that the fixing strap (1 2a) consists of the same material as the hand edge part (1 2) and a continuation of the hand edge part (1 2) forms.
6. Palmare Daumen- und Daumensattelgelenk-Schiene nach einem der Ansprüche 1 bis 5, dadurch gekennzeichnet, dass der erste Fixierungsstreifen (1 4) mit dem einen Ende am Handkantenteil (1 2) und mit dem anderen Ende am ersten Schienenteil (1 1 ) befestigt ist. 6. palmar thumb and thumb saddle joint splint according to one of claims 1 to 5, characterized in that the first fixation strip (1 4) with one end on the hand edge part (1 2) and with the other end on the first rail part (1 1) is attached.
7. Palmare Daumen- und Daumensattelgelenk-Schiene nach Anspruch 6, dadurch gekennzeichnet, dass der erste Fixierungsstreifen (1 4) an beiden Enden lösbar befestigt ist, und dass die Befestigung nach Art eines Klettverschlusses erfolgt. 7. Palmare thumb and thumb saddle joint splint according to claim 6, characterized in that the first fixation strip (1 4) is releasably secured at both ends, and that the attachment takes place in the manner of a hook and loop fastener.
8. Palmare Daumen- und Daumensattelgelenk-Schiene nach einem der Ansprüche 1 bis8. Palm-shaped thumb and thumb saddle joint splint according to one of claims 1 to
7, dadurch gekennzeichnet, dass die lösbare Befestigung des zweiten Fixierungsstreifens (1 5) an der palmaren Daumen- und Daumensattelgelenk-Schiene (1 0) nach Art eines Klettverschlusses erfolgt. 7, characterized in that the releasable attachment of the second fixation strip (1 5) on the palatal thumb and thumb saddle joint rail (1 0) takes place in the manner of a hook and loop fastener.
9. Palmare Daumen- und Daumensattelgelenk-Schiene nach einem der Ansprüche 1 bis9. Palmare thumb and thumb saddle joint splint according to one of claims 1 to
8, dadurch gekennzeichnet, dass die in sich steifen, jedoch mit der Hand plastisch verformbaren Elemente (1 1 , .., 1 5) der palmaren Daumen- und Daumensattelgelenk- Schiene (1 0) aus einem Material bestehen, welches als Kern ein gewelltes Aluminiumblech enthält. 8, characterized in that the rigid, but with the hand plastically deformable elements (1 1, .., 1 5) of the palmar thumb and Daumensattelgelenk- Rail (1 0) consist of a material containing a corrugated aluminum sheet as the core.
PCT/EP2011/052603 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint WO2011110420A1 (en)

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PL11712189T PL2544636T3 (en) 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint
ES11712189.7T ES2540988T3 (en) 2010-03-08 2011-02-22 Palmar thumb splint and thumb saddle joint
EP11712189.7A EP2544636B1 (en) 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint
US13/583,867 US10201448B2 (en) 2010-03-08 2011-02-22 Palmar thumb and thumb saddle joint splint
DK11712189.7T DK2544636T3 (en) 2010-03-08 2011-02-22 Palmar thumb and thumb root guide

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CH302/10 2010-03-08
CH00302/10A CH702784B1 (en) 2010-03-08 2010-03-08 Palmar thumb and thumb saddle joint rail.

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EP (1) EP2544636B1 (en)
CH (1) CH702784B1 (en)
DK (1) DK2544636T3 (en)
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HU (1) HUE025771T2 (en)
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DE202014103362U1 (en) 2014-07-22 2014-09-05 Christine Meyer Device for relieving symptoms of a thumb saddle joint disease from the degenerative, inflammatory and rheumatic type.
DE102020105011A1 (en) 2020-02-26 2021-08-26 Miklas Matzen Orthosis for the thumb saddle joint
EP4295821A1 (en) 2022-06-20 2023-12-27 Miklas Matzen Orthesis for the thumb saddle joint

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CH702784B1 (en) * 2010-03-08 2014-06-30 Chrisofix Ag Palmar thumb and thumb saddle joint rail.
DE102012008565A1 (en) 2012-04-26 2013-10-31 Bsn Medical Gmbh Thumb
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WO2016011999A1 (en) 2014-07-22 2016-01-28 Meyer Christine Device for alleviating the complaints of a trapeziometacarpal joint disease from the degenerative, inflammatory, and rheumatic spectrum
DE102020105011A1 (en) 2020-02-26 2021-08-26 Miklas Matzen Orthosis for the thumb saddle joint
EP3871640A1 (en) 2020-02-26 2021-09-01 Miklas Matzen Orthosis for thumb saddle joint
EP4295821A1 (en) 2022-06-20 2023-12-27 Miklas Matzen Orthesis for the thumb saddle joint

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US20130197411A1 (en) 2013-08-01
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DK2544636T3 (en) 2015-06-22
HUE025771T2 (en) 2016-04-28
US10201448B2 (en) 2019-02-12
PL2544636T3 (en) 2015-09-30
CH702784B1 (en) 2014-06-30
EP2544636B1 (en) 2015-04-08
CH702784A1 (en) 2011-09-15

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